Abstract
Adult degenerative scoliosis is a growing problem especially with the aging population that requires the use of increasing long construct fusion procedures. Even with all mitigating factors, complications, including proximal junctional kyphosis, are common following surgical intervention. This may result in back pain and/or devastating neurological deficits. When there is a neurological deficit, surgical intervention is typically warranted, but those with stable back pain could attempt conservative management. If there is debilitating back pain or progression of the kyphosis, surgical intervention should typically be attempted.
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